Loading...
HomeMy WebLinkAboutPermit Plumbing 1975-12-16 - ,....,. ,.-,,-, -'. .:.d~:~:l-~.l: >. '" {0, i"~ '._""., {.';.~ .\.....--.,\ -.~. "L \~J':.; /"I~...- r '. -. ... ..",....".. ,.~\.,.~. . ~ .00~ner K~UMD>lECI{h\IC NAME 'LANE COUNTY PERMIT FOF PERMIT NO. 3199~75: I ~ 'fO 'tt4e.11l6' " MOBI,LE HOME [ ] PLAN REVIEW [ ] "CHANGE OF aCCUPANC'y [']Lf 'P..O.8ox '1.444 EUGENe> OREGON .97401 345"'~:{95 ADDRESS t CITY ZIPCODE PHONE , CONSTRUCTION [ x] ~" r if", ," :0 Contractor S'A"ME . "NAME 194 . ADDRESS CITY ZIP CODE PHONE OOS. Reg,'!it ".~ " ~ ;.<'1 :Tw,r' 17 - Range q Secti6n "28.'-1 Tax LOL';lh6~ "' "lS,T,APD:tT'CN ~T-O'~ subdivision COOl< GARDEN, Lot ,.:,,;. ;~'if':. "'"S'lock CoOP Census Tract '.Acces~ to 'Property (Road Name):' ~'N:l1lt.~~~ ":-~ I .'-, '15'5" Ac~eagp,. , . d::;:.i., N~V\ (0 .1-- ~ . Width Depth E.xisting Struc.tures on Property' .' ; ""NoNE:"' ~' '.' :-._", .... ~.."^ Directions to Property ~ Address: . . .' f' '~S~ON ..J,...".-.:' FUGFNIr;,ORP'i'GON <n401 ,> STRLJCTURE( # ,BEDROOMS) PERM" T. FOR DwELL-lNG' , '"GAR A~E . ,:,; PtRM,J-T 1Q.tNS'TAlL SEWAGE DISPOSAL- SYSTEM ffl~~';.ALL rOOTll\{GS ,TO GO oo.liNTO' SOI.J.D.UNDlSJURBEO EARTH: J, -- -__ --.-_;_~.-- '<11 SEWAGE. DISPOSAL: ' PLUMBING INSTALLED BY: PUBLIC [J SEPTIC TANK I ] OTHER [,], OWNER [] OTHER [.:J: NAMF BUi'LD ING 92'000 WATER SUPPl>Y.:p',~OP()SED [ ] . PL~MBING .10000 '.' EX,ISTIN<;i .r ] 3%SUR,CHARGE ':\.66 [ ) PUBLIC ,... . . MOBnEHOME. [ ] 'COMMUNITY' NAME: W~~TE DISPOSAl 7'1..00 .\ ' , [ ] PRIVAJE;YVELL PLAN REVIEW . [ ] OTHER. SPECIFY' ( SQ. FT. ," , , 1012 @ 16.10 4~ @ 5.iO ~RI'D: VALUATION s16.61').t30 . 2.448.60 " ';'-' ,\" .,.. lp19,Ob3.00 . RAI NSOW WAQTER ' DJ ST: TQT A L' '200..66 CONSTRUCTION' PERMITS'& INSPECTIONS AND WATER POLLtlTIQN CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: ' GALS CJOO -MIN. DRAINFIELD' .180, 'L1N. FT MAX, TRENCH.o'EPTH '16" INC'HES PLACE. DRA' NF'l ELO A MHHMUM orfl:(j) F.EtT. r:ROM' PROPERTY LI NEAI\IO'.HGOSI!: . RESE:RVE'ANAREAtO'R REPLACEMeNT Of-" SEWAGE DISPOSAL SYSTtM~: . TYPE OF CONSTRUCTION '1N GRQ.UP ,<.l&..] , FIRE ZONE . STAY 100' FROM ALL WELLS. USECLASSIF, '. SETBACKS5:,FT. FROM CTR. OF.r/W: .". . FRONT ,1 '.' F'ROM. SIDE EXT. SOIJTH C;' ~HOP~K~T'LI"E. ' FT: FROM PROP. .LINE: SIDE INt. 1I.1Tf'UEREAR 7'PUE NOR:TH ZONE R"'l AUTHORIZED SI~NATURES: /s/' , J .,(; Boss.: SY;HARi:\AUI4Ii ' t.' , .ISSUANCEDATE: 12116/7'1 OL\>1 '; ';'GiM 'Y/ S M,i n AR h\N . ,- -'Ii' .~.<,.. ~;. , ~ ..' ~ ~ . "l _-I"';l~ BLDG,PERMIT -,-' WHITE 'OFF.ICE COPY - WHITE .' COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687.4065 to schedule all' required construction inspecti"ons. Call 687-4061 to schedule all required septic system inspections: All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal, and the'State Plumbing Code. All buildings require a certiticate of .' occupancy before being occupied. .. . :'(See Details on Reverse Side) ~~. C5S:13 ..~~,' . 1'~~;',;;1'."_~~",~;:, .,'. _.~:..~~.,.. ~;,.~,i':, . '. i;... (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANA'GEMENT COURTHOUSE ANNEX,.135 EAST 6th, EUGENE, OFlEGON 97401 ~ (- /~'~-' ,,) . ~\':': I _~ I ,.......~ I '~! qC ji ...'~ E':~~Y:(\~>>>>;:i " " -. \" t~ '.' "-it ,. . .'""':f.' ., ~.:;?<. o I J11 (- ,.. I I I I I I . , 'At" ," . . I / , r I ! / '1 I I I , I fJ pi j) " :: j t "~ ~ > tl 0' J~ ~ t ~{r r, d ~ .~ ,.. ~ V,;;:,:<,;:",' >>,,;; ":;;,;:~ '., ,:;i.t ' :;;/.,.;;:~;:::~~;~1.:f~{r<Y~L".:: T.' J . .,..", "'-"""'i"""""~h .. ~ :,::i;i~'::;:;:~~;N~:;~X;;}{(~t:j' :" . .', ' '. >";,3;'.'":\.. , ',.~ 'I ;~ ,. t II , !~ --,..,' , I: 0' . Ii.:, . '1\ II I! .":2 \., cs> ;~ '. ~ .> ~" ,"" ./ ',i:. ,~~ti ::-'}':~::,'. .... '-.. '''. ... ..'........--....'.-.....FJ;,;j.". .,...~~~.~~~~6t~}\~ . \ -so, ' ~'-'~,-..:: ,~~ "'"' <S I ' t c::::.-=<:::::> \,<..1 """::..c::::::....~~~~~ ~~~~ "S..:. c:..~" ~ "\', -",; .~ ~~' "'" .~ '-t;:... ~~. r-:- ~ ,~~~~ ....:...;...c::.~ . .; ~..,~~:~,~ .J I I /. , ' i , " .' 'II ../ . ~/.' . .~;rl. . '. '... ., J ~ J ~- I:t., ::"Ar,, ;it:~ki: ~t: ._- ~ '. \..c.... ~ '- ...... "'-.h. '---. '" '==" " ,. :z,il':> J1~i; . :," "'~':'r"-:-~ ;~~f: :-....... ~'. :,.'":{ti, ..,~ ,; . :;," .'f.~' I ..'. '~'L'Y;~:.J ,', .~i+':~'i\s~.' . tfl. . "...,,,. , . ;;:;:)~"f~!~' ~ "1 . . ~ ' " " j' .' {" ............";'... " r'....\:". ';0 ,.11 ._~ .' ....- '-'"' t:::JA ~ ____ ~ .,( ~ . , , "G~:~t>, ,!.,'C\{'._.' BU,1lDJNG SITE EVALUATiON . "~:'.'. " R ~~;LD'N~ PERMllAPPLlCAtlotfND. . ,3/99-7 ~ ( ) .SITE INSPECTION t d 7 ~R' o'~ ~ TAX LOT.."" J SU DIVISIQN:". (e,,19,~~r~ . . .LOT:,' d _ BLOCK:' 't/. . AP~LICANT "" . .'. 'DATE. PLANNING DIVISIO~.. 1. 2. 3. 4. 5. Zoning Ordinance COmpliance: lone Subd i vi si onO rd i nanceComp 1 i ance . Required Access Building Site (Area, Other (s~e comments) I Not Appl icableNo Yes" Width'Fr6nt.9~11 tJ!J~ ( ) . ( )( ) CK'O BY:, (Il1P1! I 0 ~.7~r Setbacks from cl10f road: . . Front~ 15/~11.' Side. -Or E' ~;",L S,etbacks fr()f1l i nt,ler i or 1 i nas: Side ~ /0 /'lIir ~ear" -,'7 {.III~ COMMENTS :'--_.'- .' I~~~ ~:-~ ...... ........~........~ ._,_.. -', --~_.__._._" _. 11'-1 . !. ..,...~---"-- .,.. - -. - - ~.,~""-~"",, - ,.---.:. .__.. .~...:... - - -'" .....:..,...,:._,- - ",. _" ,,-. .', .. ..__.~....._ '-_':.,',::"':~:~'.," ~"-:-..~---~""~ .,', . ~.: ._~""-~ . "'7'- -.,-,.....-----.--- .".',~' #<. ~ '.. ...... .__ ,.._.... .._.M_ ,.' "......'.,.. ........... __~ .._._.,_." _~,.n. ...".,..........,..~_...".~_.w'__...........__~~-<.-_.~ .... ~~ ...._._____ __ _.."._.__~___.. . ..... - . -" ~ _. . -,-...~ ~_,,____,'.____'~_"_''''''_''.. . ,..~_.._,__..............."';-~...._ ___, "'r_ ,-..---_ , 4~''';'''- _.--.o.--'........?'..._.,""'. "-L " '''. .._.','......M.,_ __ _L. ........__..... . 7. 8;; 9. 1 6 Ii PLANN 1 NG 01 V I S loff"Attfo~r'PENifrNG r'"YESr-'.r-':N:Or'''):AP'p"lfcAT,fON#, , .." _""~,__.._"___-,,,-,>,,,___<,,,____,,,~_,,",-,,__,~,,~~-,--__,_______.......'-'~... ..... 'A'_. ___...._.. _......."r'. .I-,"~....... ButLD.IN.G .iNSPEo'fJofL.olvi.!UQN. 'Not.. ; App.1'f calil e, () . ( ) ., ,( ) 'o(:~ Pl ans Submitted 5011 St'abil,ii:y (footings) , .. .'- F 1 bod ~ 1 a in". , Otner (see co~ents) No, .Xes. "(,) ,V<i} ( ) (i) , ;( ) (. il) . () C:l) ekiD By~~A3-;,/6d!1 , I DATE COMMENTS:, . , -~~ ...................,,_,~-"~-.Jl:.:f'c---~;., _....,,;,"':'!'~........_--'.....~.....=-_..""- .~. dl.':' ,- _......,~,....--::~-.i........~~'..............'..jt''".~- _;'0/- .- ...;:-. -'~""":" -~--:-~ - .. _ .., . ..;1-= '-..~~ .:-..:::~-=-.. . ~- . .."!. "":....:--0: _.._.'A.~~"""'.'-:"'V ..."..J:~, ""'-c' . ',~"","""..,~":.--;:;--::---:''oQ---;:o!.-.'''- ...;-.=-__ ~. , -l::c1;"-. """"-.-=',.:o'T;:- ',_' )l ,..,. ."""""'~~""':'_~-:::---. -~.~. -~.'~ .-.,-., ....-........-.;' ~ ~~-.- "'.:'::-1"':':":l""_"_'_'~"""".~..'~"~"', . . ..'br,,,,.~...:;....~~ ..:';'I'OiI'~'.--~"""""".-_""""""~"""'''';A:,;_~,",.~~+ ~- . '. "~.+ l~'''''''- ......,.....~...,. __- ......l_~_ '-:,,;- -.. ~..""- '~.'''''~,'ly,~" . -,." -'. :+. -...... ~:-..~ ..__...~_ .............,1,:..__ .;..,..=.:a=.. - .-::-:' _ ,,,--'.~--7'~-o<::." -. '-- .,.' '. ~ - - ~ ' - ~. ..,'. _ ~,,'.l,",,~..:~ to' ,--:.- "'. ......,.._....~.~ .~'......~.&:' .... ;1,~'-' ;,j.. < .,.......~,..ll'...."....., .'_~';...~.~~." ~"'-.,.~~ J,' ,- .... I' ,- _\ " _ i- , '. . . ~ wAtER.POLUTION CONTROL 11 ;' . . ~ee!~.beRarirrient6f Q.~~1 i ty, ,Standards,. .. Other ~see comments) E'nvironment~l , 'Not 1 ~'~-..; ~-,'" ~ ~, niM : Appl icaole. ,No;'>, ,. /, ( l' y-) () Vtil... Yes. ;---I""F: ;\;1;>",,;.-. .. . . eOMMENTS: .-- ","",.~';.."..o;'n ~ .. ~ ~ (;~) cktb B~j~.:c/.).~/.?- /1 . . ~DATE ......, . J,o">;'>!O<<Jt -.:. -;><"J.. ....__--...~.~ ","..-=~+-:;-_-_~-~..,-,_. 4 .~ -- ..... '~/""'- "_ . 12. . . ."",,_ ;r.:o:--...- " J--__~..... ~ Jt. '\' ~ . , ~~~..;:;;;:.. .-.1' '-...~~~_-:-..r,~:~-::>"~...,._...~-t:,,, ,-' .... .........:.~.=-_4....-~... .........,.-_..,~.-..:_....' ..-~_"$.."'.. '..... 1-..... r'- '1 "",. ,",,,,,~~,,<~,,"?>,,,,,.,.~....._.,,,........lr"~"""-""~ "'......,.... .._.~-:+~. . . '~'. . : .Ji .~.. "," ,. -_=.' ...,,>_.-'._..~- .- ..... . -. , . :;.... ... 'i' ,'" ~ , '~'_ r .... :.~..... ' ~ .~_.... ~""'''!r_-'''''''",,",'..... ~ -, . n' ...._ ..... j , . - TO APPL1C8NV " ...' , . '';/: .' , ,'.,' ,. . ". M/'/'bydyr ,:'.'l"t1iR9' 1 slteingp~EH8h: . ..~/"" ..' '-. "-',1(''':--'..- ~,q,...,_.~..-'~'~...... -. J'V ' tj' . Can ~e aI?Pr,Clved. .' "., 7 " ...., " ~ ,,-..>d C~1'C'/ ..., . ,.;;: ~. ( ) Canno~. be appr.ovedatfhJ~ti"me ,~s . i~aka~e9 ?~ ..~t.etTi ~O~'=.._.~_,:_'~h cibove. , . Questions and furtheri:nf6fmatiorJ on' item~ Ithfobgti 6 totitaCt tHe'LANE- . . ..... .; "_-;--: ~-:::"': . .~-_~, "_ . _ .. ~~~.-' ,,1-,' .. ~ ~ ~. "::-:". _ 1--: ':).~~'-i"7-'"":; .\~ ';., .' COUNTY .PLANNING DJVIS<tON~;:..'Q(i~~;tions!~rct~urther,..inf9.r:m~~,V)!1:,9~,)tems 7 . !~rough J 2 co~ta~t: the, 'L~~E. ~,~~~TY~.~'I'~~:I:NG;.J1:~O,~~AN I~TA!f~N:~:I~,I~ IO~. "( ) Wit 1 be :h~ 1 din th IS off Ice unt J1 you can' resol ve the prob terns I nd I cated. f ) Is. bel ;'9, re'turne4. '>.. ", 'li, ' " ,.'. ",., . 7<'. 'cr You.r bui i,d ir"-g"pe.rmj,t:.:appU,ca.!..t.~KJ~.~ i sB~i riqr,~.tU~h~tL.t1Q&Jit...'seDar.ate cover -:- uERARTMENT ',OF ENV I RONMENTAl MANAGEMENT ~,: " , 135 :.5 i.xthAyenu~ East Eugen~Or.egon 971io"f.' '. . PHONE: 687-4065 ;"" i'.. c',}: LAN'ECOU'NT.Y-PLANN.I NG Div i S I O~:. PHONE: ,687-4186'.- , C55-28 " - .. " ..-.' , .' ,::, ...,;. :.,. ~. "+ J . 'L,-~. . .. . . :,:r-' \;..'':,? p._..,~ Date' DECEMBER' ,17 .lQ7l) '" --.... '" 'P~hniLNo. H~199-7l) ,. ,'" CURB cuT. . P'E R M'.lT:' . . . . . IN THE -BOARD OF' COUNTYCOMMISSBONERSOF 'L~~~: ~.O,UNTV .,.-. . ,-'; '- . ...' . '. . -'. . . .. ., , . _WHEREAS, the'aftdchedCipp'lication hasheen 'fully .consideredby the Boar~ 6f;,Co0nty.tom'- missioners of Lane.~ou-~ty; aridit is the opinionond .judgment;of the.Board that'th~.said application.' should be gra!1ted, :ahdthata :permit" should be i!:i~ued, now/ therefore, it -is .he~eby. . , . _ :.1-:. '. . .: . ..': _' ~ . . .~. _ ~ ~ KRUMDI E CK' I NC'~ .- '-'- . - . ,..;..' 't -.... ORDE'RED, that a permit be ,'and .ish~reby. issli~d to , , P.~O. 'Bo~ 1444.. '::EU~ENE',6REGON 97.4'of:; or constructing the 'following. fd~ifity( , . ,", .' -. ~.-' 1ST ADDITION TO COqK'GARQEN LOT 4 ,f6!:::p'(~cing;: huiicH'ng 880' A~DERSON' :tANE-" EUG'ENE,'OREGON 97401 - ~ '.. . . . opon the rigbt-of-way'of Countf'Road No. -', . " :', Mile '~ost-' . ,in strict conformity to the exhibi~s atta,ched he:reto; and(:subj-eet toal! terms, condition.s, agreemEmts, stipulatio,ns arid provis'ioris contained in the applicatio:n.ard permit, the Ru.les and Regulations Gov- erning Facilities to be Permitted, 'upon County 'Rodd:Rights-of~W,ay, a's set forth> by the .-lane M9n-. 001 50.1"90(2) any amendments thereto, andany"other appl.icabJe regulations, law orordinance_~ . . - ",- .! . Special Pro,yi,sions:. . , . Dri~eway willl;>e cpnst,ructed..:in ,.accordance .with' the ci-tfached driveway :dpproachspedfica- '. tio,lis (Dlawin'g ~98-50). " _',~ ',,: . ':.',' ....:; .".~~:<." :.'" . ':. __..' '..' .,' . .2. ,Permittee :.wilf be 'respo~sible. fCir,'the "imm.edi,ate' re~ovaq orall m!Jd, dirt and :9,ebris, fro"m the roadway a,n.dright of way__caused. by his 0 per9tion, le'a.ving,the roadway and area in a neat, 'acc~F?table condi~!~n; ',.". . ',.' . . '" ]" 3. - , .-' . . '... ,S IDEWALKS WILL' B'E ,.CONSTR'UCTED' IN ACC,ORD'AN,CE",W ItH iiTH~ ',ATTACHED S I DEW.A't::K . SPEC I F 16A T I ON'S', <A'ND' DRAW )N~, 'M98-49. 'TH~ STANDARD: CURB TYPE SHALL, BE. CONSTR~CTED 0NC~~S OTH~~~1~i SPECIFJEd~ ." ,: ~. .. .~, . ..'-:r , .. ~l- , '. " . ~ .. - .~ ..'ll "'-:.-- . -', . . - . . . , This' perrriiU.s'revoc6bleatany time;" and wi II be s'trictly' adhere~ :.to .and riowo-rk~the~'. than that specifjc91IY:~~~ti.?,~ed :,?bo"v~ .is ."he,reby a~thorize~.: 0" '. ,. ~" '. " Thi;' per.~it'~hall b~ Vbid' ~nl,~ss th~ work herein c~n.tem'pl'at~d ,~h911 hdve been .completed be-' .fore, ..' i'. DECEMBER 1.6 '. . 19 76 .' i Expir~s , 19 ' I nSP7cteda ndApproved' ,.'. --. .".-.. .: Ap'pr,~v~q: by~o<:tr~dof.'County ,Commissioners ,,' . By" . " .--' . '.,'~':~'" .' : Director of: Public.. Works .Date By ~.' .";:" . WHITE'- OFFICE FilE . GREEN - RESIDENT E~GINEER PINK - PERMITTEE' " -- BLUE -. ROAD SUPERVISOR ORANGE..,. BUilDING & SANITATI.ON DEPT. YElloW':' REAL ESTATE C98-7.9 ,. ''''?'T''. '.'" ..-. .. fJ. ~\. t" ,/ .... \-~ . ia".J- .~~ . ,'';"'::;!.'' -"-:- ~:: ". . ~ ~c.:~'; .r .; ..... .. ,"""'-..- , ..r-- ::! iI" Date .o, ,."'1 .~r. 1~ ''''-...- ~' . 'OUr..t}1 i'1 ~ ;J;'if~~ Permit No. i ~ll c:~'~1~ ..... ~,) .. -.;'.. CURB CUT J> ..".. PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREASt the attached application has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion a nd judgment of the Board that the said application should be granted, and that a permit should be issued, nowt thereforet it is hereby. ~ ~. ORDERED, that a permit be and is hereby issu,ed 'to.... ~l\I..~~~jr;L.I if;lC.. ",,0.. SQx 1"~!i t:M~'t~P. t.,'t~ 97ltul '~ or constructing the following facility: in ADn'i_ T~ ~~tKm *~I?I;Stn to" ... ~i~) Ai~.;-~;>tril1i;ONJ..A~t for placingt building .r ... ..... .,' (}14t',"i I l....~l\'"t \;H( ~i}\'~"7 ' upon the right-of-way of County Road No. t Mile Post , in strict conformity to the exhibits attached hereto, and subject to all termst conditions, agreements, stipulations and provisions contained in the appl ication and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-WaYt as set forth by the Lane Man- ual 50.190(2) any amendments thereto, and any. other applicable regulations, law or ordinance. Specia I Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). Permittee will be responsible for the immediate removal of all mudt dirt and debris from the roadway and right of way caused by his 0 peration, leaving the roadway and area in a neat acceptable condition. - ' ':: U"f:!jiAJ~:";~ Wart..t, lJ!3,~ Gem", ~tff;1'ttr hi Act:~)RrKlif.1(;t; "'H lU t.tlt A1'Till<;tff,l) ,:1, HJIl;I..tJHY 'I'UH'{q,:''fH~ij~ A't'li\) ~1{AI1i"Hif.-l ~!1t;""~9. Tt:~rr:~'fA~~/M~Jrl~. "T"f'lC Jjl:rlli~.!. rn: €O!~f~<ijt,1tO U'II...t"$.J$ O',"j~f~lH::.:'i., .Ptt ~,. U~IlH 2. fJ. ';1" This permit is revocable at any timet and will be strictly adhered to and no work other than that specifically mentioned above is hereby aut horized. This permit shall be void unless the work herein contemplated shall have been completed be- ~tJMMCR t6 16 t 19 Expires t 19 fore Inspected and Approved Approved by Board of County Commissioners By , Date By Director of Public Works WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUilDING & SANITATION DEPT. YEllOW - REAL ESTATE C98-79 ~'I..< ~j '-, pr .......--.. . v" . ~ ,;.1" : LANE COUNTY PERMIT FOk: PERMIT NO. .>1' i' '" ' CONSTRUCTION [},] MOBILE HOME [] PLAN -REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner N ;:iI)M.iJ 1 ttt'l t !it NAME ~~A.Mt NAME C" ~ ~~'.. Ht) X 1 J~<~f ADDRESS ,~:..,.,;u.:nr. Vff:tQf)t~ :;Yj~l;:i"~ CITY ZIP CODE J~'4~:-~. PHONE . 0 Contractor ADDRESS CITY ZIP CODE PHONE' . i~J4 O.S, Reg. # Twr 'Ii .. Range~) Section ;; ~rr IIntl; r T f r.JN "1 (} tCO-~t ,;.:tt.1'Ui}. Lot ;~:i.~'; Tax Lot Code Census Tract Subdivision ~. f ;, Block Acreagp viii dth Access to Property (Road Nallile): .1f?ut.J:l':;am Uf4li. Depth Existing Structures 'on" Property: '- i t\!1tt\, l ',.' 'l~ .;. .'I.j ,\'i ~'" ~ Directions to Property - Address: 1~\fl"'J. . "'~"''''''''N i A .W ~J.",.}\~~ t-:4nW';~1"\~;ft.;...Mt~:"'(i iur!ir'ftf: l){tt:~t~ {J7b,j~ STRUCTURE (# BEDROOMS) ;;d~n' f~~ iJw:tU. Hit;.. SQ. FT19~' (0 H;..It~ ?J3rb :; VALUATION ,','.:! t !t'J {'f, l~ - a.~ 'I .; "'J., "...- '" ..,ij,. -. ~~J ..~~W'fitW~'"il-\bi~_'-4I ,.... .;".f-.- .......... '__~ I' -.. \:1iHiAGt; . ~;( 1~ ;tlil:jO l'l;'RHlT '"fQ 1~$V."'u. 5t.W"'f~~J.'_I;i1Jl)L;kf~ :')'l<,rtfl !i.~V.fJCJIt(;5. JO.JiQ.J~t!t...J.Q.,.2.Qtf~i, 't~~:.111~1URSr:;l.:~I4~,:iJ1:,U... SEWAGE DISPOSAL: PLUMBING INSTALLED BY: PUBLIC [] SEPTIC TANK [] OTHER [ OWNER [] OTHER [] NAMf \}.:t~}:1'~:.'~"~:J4I\l'~'. ll' BUILDING PLUMBING 3%ISURCHARGF MOBILE HOMF WASTE D ISPOSA I PLAN REVIEW :~ ~.:tJ(~' ::j~"~? ~~ \0'1 ttt"! t:,h,flf.,1 \. ' WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY. NAME: [ ] PRIVATEWELL [ ] OTHER. SPECIFY: ki'i ::j~,:'.,.,l{Tr' ," 't l: { TOTAL ~~U;,.nt) CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEb115 TANK CAPACITY: l}'~) .~,(;.,.. GALS. ,.,....' MIN. DRAINFIELD ,d UN. FT. MAX, TRENCH DEPTH ..; INCHES ;'UI('{ ORAiNrin.p ~.. HHHMlJt, (:.1" ifl'J ~.tr.l' .'JtOM fTJl!';I;W'ERfV ~.,J:Nt AtjO HimSt; "Ii r;;CNVr, A~l AiU;A .'Q~ ;:'.:;;~t...,M::1:Nr.iflr \::~. ~t\MGt' tHSl?~'J.l\\. ~'te:;nM1i TYPE OF CONSTRUCTION ,"r:t GROUP fW FIRE ZONE STAY 100',FROM ALL WELLS USE CLASSIF, SETBACK~5'Fl$'I~~M CTR.. OF r/W:[ilU11.ih l'~ FRQNift}~~.>;"~~,! ,1-..- SIDE EXT. ;Ji FT. FROM PR~8iL}~,.E: '" j\~;']t;" SIDE INT. "", :_ .r...,. REAR l' 'v,.} -?',?~:;'~ -~, ZON!= "~~M' ~', AUTHORIZED SIGNATURES: / / ~L" t. !~;fl; ~r1 h.lHtUt4<JCH 5 .. Gf-lA '( /'J.ti!< ~ y M~<< AH ISSUANCE DATE: ~?/ '6/15 ~tJ4 , BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD \ ,) < ,\~.... " ..., '..... . ".' , ~. Call 687'4b65~ib~SCh.0bI~~~ll'reqlii~d ~onst~uction inspections. Call 687-4061 to schedule all required 1M POR T ANT: septic system inspectio~s. Ali'constiuction' shall comply with the State Buidling Code. D. E.O. standards for subsurfpc!3 sewage di~posal an~ the State Plumbing Code. All buildings require a certificate of". occupancy'before being occupied.\, ^' " \.;' ..\ ;" ". ',: " " )'~ ~~ , - (s'e~'Deia~s\ 6n'Re;erse'Sloe) ,', , " \.. (POST THIS PERMIT ON MAIN BLDG. AT SITE) ,J C55-13 LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE. OREGON 97401 ,;:or ..J -t.(', .;;'". ...~\~ !.. ;.. "\. '.. SITE INSPECTION ApPROVED / 1 DIS~PPROiED 1 1 DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / 1 DISAPPROVED / _I D~TE INSPECTOR. R'.ARKS~)/dii~~~ I-J~-1(P.k P1A:N~Arr(f:!.L-~1. . / / ! ",/ , f . . FRAMING INSPECTION ApPROVED L1L/~ DI SAPPROVED / 1 DATE;) -;2//... 7' INSPECTO(O~7' &; /1 REMARKS LATH OR SHEETROCK INSPECTION ./ ApPROVED / V / DISAPPROVED / 1 DATE.1 '~~ INsP'nOR~ Ili/~ REMARKS .........r-' /. FINAL INSPECTION~7 / ApPROVED / t-./ I 0 I SAPPROVED 1 1 DATE I/'I(,~ ~ J;; Uj!1" , ,," "', /' " I I'.~' I NSPECTO "'.. '. I!}J ..--- / REMARKS CERTIFI~ATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR . ~4 - -..('- . .. ... .~- ... .....' ~ ~;1/' :.~: .~. (, ~ .~ {~~ . . r~"\ <.,.J ('"\, \ ! LANE COUNTY PERMIT FOh:/ PERMIT NO. 31)19"'15 CONSTRU€TION [~] DOwner C~lWt49' (t~ts H~lt NA,ME ~~ NAME 89~ MOBILE HOME [.f] PLAN REVIEW [] CHANGE OF OCCUPANCY P..O" ~J1', 14" !tUQ~t'-m @~(g(aOCj 5ll1!;Xn ADDRESS CITY ZIP CODE [ ] 3!:~4395 PHONE ~O Contractor ADDRESS " CITY ZIP CODE PHONE O.S. Reg~ # " . i~ .' ,', '#; ;f."';,,, .Twr n ~ ~ Tax Lot Code:::"':~ , 3',' .~_. I , Census Tract r--, < f~r'~.~...".. Width .............-:'~ Range j Section U01l' ~~f;)lt"it0t\l10 .subdivision ~(tlC,%( ~Clllllt<<l Lot Block , Acr,eagp i r Access to Property (Road Name): ,A~~llfi@S-J ,tAwrn Depth Existing Structures on Property' :~:N~J!i! ..Directions to Property - AddJess: . ".OOt. 't\~&"lf.~lf}O>>JLt\~E !l;}~gtJtt O~tc~;4. ~i'1w V - ," 'STRUCTURE (# BEDROOMS) 'r~aM.i t @'@t~ Dt1~e..t. t N$' ...\. . :~\A-AA~ r,i>ttmoU'f '1Q 6iW~VM.L Slru~~e CDOlilOOA~'S!J~J'f<<C" _~~_F'QJLtl~...19~~!l~~M 110 $OMtll.-J,tf~1Ijm~.Jm.llf1TDiL SEWAGE DISPOSAL: pLUMBING INSTALLED BY: PUBLIC [] SEPTIC TANK [] OTHER .:[ ] , OWNER [] OTHER [] NAMF BUILDING'~.OO WATER SUPPLY: PROPOSED [ ] PLUMBING " . jQ~~ ' EXISTING [,] 3% SURCHARGE 3.tlb [ ] PUB~IC~ ') MOBILE HOMF [ ] COMMUNITY.NAME: WASTE DISPOSAl 150'00 [ ] PRIVATE WELL PLAN REVIEW [ ] OTHER. SPECIFY: , , .~ - SQ. FT. l032 () 16.. '0 ~~ 0 5..~ ~kl1H VALUATION &l'~~t~c2D ia~ ~J46"Go ~"-~'-;;:' r-'~~~ VI)fllWj..QfJ rw. D (ltf}-l.'td W~e'fCR D ~~.~. ~ l .' TOTAL ~-'~ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS ~ MIN. DRAINFIELD' '~L1N.FT. MAX. TRENCH DEPTH '?&.&l.e! MAl~W'D!.t~.{i'l ai f,'-SCHMtM ~f1 Q,~ Q'e~'t r1Qoro I?r.JQPitm'i''il' "H~S:tlC'JD l~~5: . /t\i!Stt~Vl! AN A~a4 !fOil al.i:~~~lii~n-l'.w 'Yl;Jrlt#\~e I;H"0~SAt.. OVET\Y~t 3~1~ INCHES TYPE OF CONSTR UCTION :;w GROUP IP.:J FIRE ZONF STAY 100' FROM,ALL WELLS USE CLASSIF. SETBACK-~~.tFT.'r-F..,~~"...OM CTR. OF r!W:, ,), ..,.. . 0;" . \I"~,,,.... S@Y'a'.~ '" FRQ;I}I~1ilr;:;:~7": ~ ~.;:::; SIDE EXT. FT.FROM PRHrstklftNE: 'W,ml~ SIDE INT... ;v nvt REAR S rll8~ ~'lRJWtnJ ZONF ~1 AUTHORIZED SIGNATURES: /s/ J. Ii. ~n~ 0'1 '&aAR~A~N" GnA" ISMa Tim MJO ISSUANCE DATE: 1~/1'175. ObM BLDG. PERMIT _ WHITE '.. :' OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN . SANITATION - GOLDENROD IMPORTANT: . . Call 687.4065 to schedule all required construction inspections. Cai1687-4061 to schedule allrequf(ed ' septic system inspections. All construction shall comply. with the State Buidling Code, D.E.a. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of: occupancy before bei ng occupied. . "'~f (See Details on Reverse Side) , "'::;;:, ,\.l\...; \ ~ (POST THIS P'ERMIT ON MAIN BLDG. AT. SITE) C55.13. LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURl'fiOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 .. ',,, . ~., '... . .,. ",.; ., . :_.,..-~--~. '.. - "."' . - ." ." ., ~ -.. '.....:.::. I , ...,'~ h ;/ . 4" . . SLAB FLOOR ~, PLUMB I NG GROUN[MORK. ApPROVED / / DISAPPROVED / REMARKS GAS' PIPING GROUN[MORK ApPROVED. / /. DISAPPRO~ED / REMARKS , ROUGH PLUMB I NG .- AP.PROVED IX / DISAPPROVED I REMARKS . ~OUGH .GAS PI PI NG ' ApPROVED I " ' DISAPPROVED I / REMARKS FINAL ,PLUMBING '" ~ ApPROVED I / DISAPPROVED"j / REM'ARKS . .. " .. FINAL GAS PIPING ApPROVED / DISAPPROVED / I REMARKS CERTIFICATE OF OCCUPANCY , . t , , ~I ~ ~\ : /D~TE . I DhE ! . .......~ ,-_ 0;; .. I',.. I' . . '~,' '!. ;~. ~ '" INSPECTOR .. 'I NSPECTOR ,', I IDA'Td. Ji.. .Ie. . I' ':"' ,,'1' / DA~E I,NSPECT~ ~(/ "":" INSPECTOR D'~;~<-'- ry_ij/-'.;,,~. .' ~."'~;&o I ~ '~,"' !.' / DATE I ~~ i 1. READ~ TO ISSUE ! ( NOT READY; rc( IS~F ..' I REMARKS .':' I I I .,! . i:., r. : ., INSPECTOR. ' . / DA TE INSPECTOR JNSTALL~.R'~:. NAME. . , '\)0~d'.l6\' ~.~;. "~~~. L i,V~,ng.~fi,ts' '.~'e.dtoomsBaths . t, , '... , Sep"t ic'Tank::: Ft~from ,weH :'.:' ;: St~~l::,D Il1s i de~ i ril~.JisJons : Ft... . . ,Len.~ttl. . .' ,W idth~' Diameter.. Depth OWNER ' .~AME.. I' S~WAGE Di:s!~~~~L::'S),ST~M ~~~ORD , .'" f, v ~ tq' sign<;lture.an~':submit'~oth copies with' appl icaii9n. .. ,-V.,..,'.:. , '.,. . PERM IT NiL, " 3199-::-75 ..:- , ... ".~<"-"':', -- -- '. - ,. PROPOSl:... " I NST~LLER :'Comp 1 ~te top part 9J form ,. ..~ 'PROPERTY: ADDRESS" ,. '" . r " '"88bAN:DE~SON~'L~NE . '. B,~sement.. ": " ~.)~.ater Sl!9Ply. '.,. , Yes . ~ No, " "P,ub 1 i C )( , Other.;li S (: " , "GG.. <kRUMD~rECK INC~' . . " . . '.,' '. . --- ~on~rete j:g N.O.~:'{~pa.~:t~ent~. ,',"., . G.1oo~t~~., ':: Ti lI'e -9 i'sposal1, ,He HI.: . '. . " r,., . " . . , Distrib'ution Box: .Yes' No " Otrer DJstri"~u~.ipn.Type':,,," ! .,..... . - . .,. - Tot, aJ..\ '~./~ Ft~6fV(""/ Fe~t'.fr9l1l . wEin' , ," 'Lo~ Line' Frpnt : ' . Ft.. I'B.etWF.. i~. Lines. ,IV, , '. , Fou'nd'a'tior{' MAIL-ING P'.Q:,: BO-'(.-1444...";- ADDRESS . ,-EUGE N ['OR'E GOI'/.: ~i.1~~',; L}4~S~~,~; 6: ~t~~~Z . Plot :'Plan'{see i:n'structlon's):, Si de ,Rear, .~. F i 1,1 ejrlI"F i..l.1~,r . Deptll' . Fill e;: Bel ~ . Ty:pe ').Above Tile'Lin. Tile~~ in~ .' .-.. f' "'-''':. .... . ' . ~ lo "'~' .' . '.' f'l' ..-;:-- .'- -. ,'" ~ \. ,). . '.2" . . , . . I ", . . 1__, 'flJO<-< . I' !lit , ~ - .t. - ~ . L ,c' _ T. --- '. ~" ,'..' I '120: :"'"'7 .~.:.- '.r:-/~ ';~{3QL_ . j " l'.; .-.:.-,,". ". ~,", ." , ,-.....,... . -.. '-=--t~ .:--. .f'~-.. :- '\ . y.: v ,',~~ :.,...;.....;..., ~. . J'i .- .: ~ . ". _~ j.,. ~~.R:<E C. E'I'V E D - .:: ~/ -T...'tJ(, ,J;I,... ,'~ " .j X .V.~JlMAR '1.61976 I .~. . . . . .i." .~ -.. . ..;~ . 'f .... '.:% -,U;ANE,COUNTY'. . L ": tf)lMltGNMENTAL MGMT. . -I ". - ~ ,_ .' :'. , .. ." :';.,... , ',' . ,;' "--:1 ",.. '..' .'. J Date c.~-: I -S-' l ft;::J ." ' '. . '. " ,'. Siqnature(4' ~ ( AJ( #~~ . ", . ", , " . '.:',C ; CERTIFICATE OF'SATI.SFACTORY-U~MP!ION:. /1-" '."".', ".: ..,'.... .~~.ra~.~~~'~::t:~:n~~~~ ,.Y:;i~:9reg'~n:.~a~s .Ch~Pt~;'~3~51.' ~ect} ~~ ~'~i4 th!.s .'c~r'Mfjc~te- ~.:~r~s~~,/~'~'~~' as evidence';:of ;'satisfa.ctorycompl~tlon,of asub~urface sewage 91 s,posal system at .the above locatTori..',-.:. .,: ..:,:' '. " ".' . "':, . ,., , '.', .. ,qn.Approv.ed":'Systein 'Inst!=lllatio~ conforlT\s!to current stan~.ar~s 'If Disapproyed: . Does no_t. .conform to curr~nt standards . , . Remar.Ks: . '.. .....::...' " '. ~t.. . ," "d~'" ~., San I (ari a~;" 51 g"~e< ':,. j' - LANE COUNTY 'STATE OF OR.EGON' 'DEPARTMENT Of:~ENV'I"RONMENTAL QUALlTX . .~. ...~t . . C55-11 .. - + ...~. .